CCLE EXAM QUESTIONS & ANSWERS
Safeguard to protect patient file: - Answer -§ Offsite backup storage system
§ Image mechanism that can copy signature docs
§ Mechanism to ensure that once record is created, it cannot be altered
When is a patient considered inactive? - Answer -§ More than 12 months since the
date of the last patient treatment
You send out lab work and the patient results come back HIV positive. How must you
respond? - Answer -§ Must provide results in oral or written form
A patient requests their records to prove expenses for government help (i.e. food
stamps). How must you respond? - Answer -§ Provide a 1 free copy within 30 days
after receiving a request
§ Patient must present a written request for proof of records needed for eligibility in a
public benefit program
A new patient speaks primarily Spanish. You must: - Answer -§ Document her principal
language in the file
What is supposed to be in the patient's file: - Answer -§ DOB
§ Gender
§ Height/weight
§ History
§ Diagnosis
§ Treatment
§ Primary language
§ Name
§ Signature
§ SSN
§ X-rays
§ Record of transfer
§ Billing
How long do you have to deliver a record request from a patient? - Answer -§ 15 days
for a copy
§ 5 days just to access/inspect it
You receive a board request to review files for both an inactive patient and an active
patient. How long do you have to comply? - Answer -§ 10 days to prepare the inactive
file
§ Immediately for the active file
An elderly patient says she is being abused by her boyfriend at home. What must the
DC do? - Answer -§ Use confidential internet reporting tool ASAP
, § If reported by telephone, a written report shall also be sent
Either option must be done within 2 working days
You saw a patient for 6 weeks and they didn't get better and then they went to an MD
and they were diagnosed with a syrinx even though they presented with significant
upper extremity neurological signs. How would this be classified during a board review?
- Answer -§ Misdiagnosis as fault of the DC
If your friend is the owner of a business and one of their employees gets hurt, can you
bill the owner? - Answer -§ NO - this would be fraud. You must go through worker's
compensation.
Your patient gets hurt at work and files this as a worker's compensation case, but you
adjust and collect your fee as normal. What potential consequence are you facing as
the DC? - Answer -§ A fine up to 3x the amount unlawfully collected
You have a patient who reported injury to boss at work. The patient wants you to treat
him and settle the case with his employer later. What must the patient do? - Answer -§
The patient must release the employer from financial responsibility in writing
A patient has been receiving worker's compensation treatment for their low back. They
recently slipped and re-injured their low back. Who is responsible for the cost of
treatment? - Answer -§ Injury is still eligible for worker's comp since it's the same region
as long as the VAS is less than or equal to what it was before
§ If VAS increases, the patient is responsible
What would automatically get you a suspended license? - Answer -§ MediCARE fraud
§ Worker's compensation fraud
§ Felony
The board finds you operating using the fake diploma you received at commencement
last December. What is the associated penalty? - Answer -§ $2000-$6000
A chiropractor is found guilty of false advertisement. What is the penalty? - Answer -§
Misdemeanor
§ Imprisonment/jail of up to 6 months
§ AND/OR a fine of up to $2500
You want to advertise that you are "the best DC in town!". Why not? - Answer -§ This is
a fraudulent claim
· Because it cannot be substantiated by reliable, peer-reviewed, published scientific
studies
· And it makes a claim of professional superiority that cannot be objective information
A chiropractor makes a sensational or fabulous statement. What is the consequence? -
Answer -§ Suspension of licensee for up to 1 year
Safeguard to protect patient file: - Answer -§ Offsite backup storage system
§ Image mechanism that can copy signature docs
§ Mechanism to ensure that once record is created, it cannot be altered
When is a patient considered inactive? - Answer -§ More than 12 months since the
date of the last patient treatment
You send out lab work and the patient results come back HIV positive. How must you
respond? - Answer -§ Must provide results in oral or written form
A patient requests their records to prove expenses for government help (i.e. food
stamps). How must you respond? - Answer -§ Provide a 1 free copy within 30 days
after receiving a request
§ Patient must present a written request for proof of records needed for eligibility in a
public benefit program
A new patient speaks primarily Spanish. You must: - Answer -§ Document her principal
language in the file
What is supposed to be in the patient's file: - Answer -§ DOB
§ Gender
§ Height/weight
§ History
§ Diagnosis
§ Treatment
§ Primary language
§ Name
§ Signature
§ SSN
§ X-rays
§ Record of transfer
§ Billing
How long do you have to deliver a record request from a patient? - Answer -§ 15 days
for a copy
§ 5 days just to access/inspect it
You receive a board request to review files for both an inactive patient and an active
patient. How long do you have to comply? - Answer -§ 10 days to prepare the inactive
file
§ Immediately for the active file
An elderly patient says she is being abused by her boyfriend at home. What must the
DC do? - Answer -§ Use confidential internet reporting tool ASAP
, § If reported by telephone, a written report shall also be sent
Either option must be done within 2 working days
You saw a patient for 6 weeks and they didn't get better and then they went to an MD
and they were diagnosed with a syrinx even though they presented with significant
upper extremity neurological signs. How would this be classified during a board review?
- Answer -§ Misdiagnosis as fault of the DC
If your friend is the owner of a business and one of their employees gets hurt, can you
bill the owner? - Answer -§ NO - this would be fraud. You must go through worker's
compensation.
Your patient gets hurt at work and files this as a worker's compensation case, but you
adjust and collect your fee as normal. What potential consequence are you facing as
the DC? - Answer -§ A fine up to 3x the amount unlawfully collected
You have a patient who reported injury to boss at work. The patient wants you to treat
him and settle the case with his employer later. What must the patient do? - Answer -§
The patient must release the employer from financial responsibility in writing
A patient has been receiving worker's compensation treatment for their low back. They
recently slipped and re-injured their low back. Who is responsible for the cost of
treatment? - Answer -§ Injury is still eligible for worker's comp since it's the same region
as long as the VAS is less than or equal to what it was before
§ If VAS increases, the patient is responsible
What would automatically get you a suspended license? - Answer -§ MediCARE fraud
§ Worker's compensation fraud
§ Felony
The board finds you operating using the fake diploma you received at commencement
last December. What is the associated penalty? - Answer -§ $2000-$6000
A chiropractor is found guilty of false advertisement. What is the penalty? - Answer -§
Misdemeanor
§ Imprisonment/jail of up to 6 months
§ AND/OR a fine of up to $2500
You want to advertise that you are "the best DC in town!". Why not? - Answer -§ This is
a fraudulent claim
· Because it cannot be substantiated by reliable, peer-reviewed, published scientific
studies
· And it makes a claim of professional superiority that cannot be objective information
A chiropractor makes a sensational or fabulous statement. What is the consequence? -
Answer -§ Suspension of licensee for up to 1 year
